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Tendon Transfer behind the Ankle

11 February 2016 by Ortopediatri Yazari

Tibialis Posterior Tendon Transfer

The tendon of the tibialis posterior muscle is located behind and inner side of the foot by passing through the ankle. In children who have developed foot deformity due to spasticity, tibialis posterior tendon transfer is decided to be done after this deformity has been evaluated by the pediatric orthopedist. This tendon transfer can be performed alone or in addition to the other bone, tendon or soft tissue surgeries.

Surgery for Tendon Transfer behind the Ankle

In tibialis posterior tendon transfer, some part of the tendon is fixed to the front of the foot. At the end of the surgery, a scar of 4 cm is created in front of the foot and close to the inner surface of the ankle. Depending on the decision made during the surgery, a casting may be applied to the patient in the operating room. The patient wears the cast for 6 to 8 weeks. At the end of this period, physiotherapy is started with the help of auxiliary devices protecting the operative area. Childs who were able to walk before surgery can walk after the surgery with the casting. The patients are invited for a control examination on the 10th and 21st day.

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